Serves as a leader and expert resource and collaborates with Administration, Directors and Managers to maintain ongoing compliance with The Joint Commission (TJC), CMS and State regulations.

Responsible for assisting leaders in the clarification, modification and development of policies/procedures and provides support to administration, directors and managers in developing process improvements that support compliance.

Manages ongoing Accreditation activities for the accredited organization including survey preparation, surveys, survey follow up and ongoing validation of requirements, compliance and communications.

Facilitates/oversees activities of surveyors while on-site and provides support to department leadership as needed during and following survey activities.

Education

Bachelor's degree in Nursing (preferred), Business Administration or Healthcare related field required. Master's degree preferred. A combination of education, training and experience may be considered in lieu of degree.

Licensure/Certification/Registration

Licensure in area of clinical specialty if applicable.

Work Experience

4 years progressive experience in a related field required.

Skills and Attributes

Requires critical thinking skills and decisive judgment. Works under minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Owensboro Health is a nonprofit health system with a mission to heal the sick and to improve the health of the communities it serves in Kentucky and Indiana. The system includes Owensboro Health Regional Hospital, nationally recognized for design, architecture and engineering and the only hospital in the world to be designated a Signature Sanctuary by Audubon International, Owensboro Health Muhlenberg Community Hospital, the Owensboro Health Medical Group comprising over 180 providers in 25 locations, a certified medical fitness facility, and the Mitchell Memorial Cancer Center. Owensboro Health has been recognized for outstanding care, safety and clinical excellence by The Joint Commission, U.S. News & World Report and Becker’s Hospital Review. As the largest employer west of Louisville, Owensboro Health is licensed to operate 477 beds, has 4,240 employees, and in FY 2016 saw 17,119 inpatient admissions and 842,356 outpatient encounters. A committed community partner, Owensboro Health provided grants of $696,866 to health, social service, education and arts agencies across the region.
For more information, visit owensborohealth.org.
Owensboro offers a family-friendly cultur...e, with award-winning schools, and cultural amenities typically found in large metropolitan areas. Bloomberg Business Week identified Owensboro as one of their Best Places to Raise Kids, and CNN Money named the city as one of its Top 100 Places to Live.
Owensboro Health is an Equal Opportunity Employer.